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本文引用的文献

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The role of intraoperative proctosigmoidoscopy in laparoscopic pelvic surgery.术中直肠乙状结肠镜检查在腹腔镜盆腔手术中的作用。
J Am Assoc Gynecol Laparosc. 2004 Feb;11(1):47-9. doi: 10.1016/s1074-3804(05)60009-6.
2
Major complications of laparoscopy: a follow-up Finnish study.腹腔镜检查的主要并发症：芬兰的一项随访研究。
Obstet Gynecol. 1999 Jul;94(1):94-8.
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Surgical complications of diagnostic and operative gynaecological laparoscopy: a series of 29,966 cases.诊断性和手术性妇科腹腔镜检查的手术并发症：29966例病例系列
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Complications of laparoscopy: a prospective multicentre observational study.腹腔镜检查的并发症：一项前瞻性多中心观察性研究。
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Intestinal injury in gynecologic surgery: a ten-year experience.妇科手术中的肠道损伤：十年经验
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全腹腔镜子宫切除术中的大肠损伤

Large bowel injury during total laparoscopic hysterectomy.

作者信息

Sabharwal Malvika

机构信息

Chief Consultant, Obgyn Jeevan Mala Hospital, Consultant, Obgyn La Femme Fortis Hospital, New Delhi, India.

出版信息

J Gynecol Endosc Surg. 2009 Jan;1(1):57-8. doi: 10.4103/0974-1216.51911.

DOI:10.4103/0974-1216.51911
PMID:22442512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3304267/
Abstract

Large bowel injuries are unfortunate complications of laparoscopic surgery, with an incidence of 0.62 to 1.6 per 1000 laparoscopies. One-third of these injuries can be diagnosed intraoperatively, with the rest going unnoticed and revealed later. Rectal injury, a very rare complication, may be caused during pelvic dissection of dense adhesions. Injury at the rectosigmoid junction due to traction with a rectal probe is extremely rare and highly underreported. We report a case of rectal injury during total laparoscopic hysterectomy in a case with dense pelvic adhesions.

摘要

大肠损伤是腹腔镜手术中不幸的并发症，每1000例腹腔镜手术的发生率为0.62至1.6例。其中三分之一的损伤可在术中诊断出来，其余的则未被发现，后来才被揭示。直肠损伤是一种非常罕见的并发症，可能在盆腔致密粘连的分离过程中发生。使用直肠探子牵引导致直肠乙状结肠交界处损伤极为罕见，且报道严重不足。我们报告一例在全腹腔镜子宫切除术中因盆腔致密粘连导致直肠损伤的病例。